About Careertakes

👉 Important disclosure: Careertakes is a third-party recruiting platform supporting this hiring process. If selected, you will be employed directly by our client, Legal.

Applicants for this role may also receive access to additional matched opportunities through the Careertakes platform.

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Role Overview

Confidential Client is seeking a Claim Representative I to join their workers compensation claims team. This entry-level role handles medical-only and indemnity claims, performs claim investigations, supports return-to-work efforts, establishes reserves within authority, and negotiates settlements. The position supports remote work while the authoritative work location is Lansing, MI.

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What You’ll Do

• Verify workers compensation coverage for employers and injured employees
• Investigate reported injuries to determine compensability and causal relationship
• Manage medical bills and approve payments tied to the injury and treatment plan
• Establish timely and appropriate reserves within given authority based on claim exposure
• Facilitate return-to-work plans and coordinate with medical providers, employers, and vendors
• Negotiate settlements with attorneys or injured parties within delegated authority
• Conclude and close files in compliance with internal standards and state legislation
• Escalate complex files to management and collaborate on resolution strategies
• Manage outside vendors and maintain effective internal and external relationships
• Stay current on workers compensation statutes, case law, and rehabilitation best practices

Additional responsibilities as you progress (Claim Representative II/III)

• Administer complex or catastrophic claims and handle high-touch accounts
• Exercise independent judgment to settle cases prior to mediation or litigation
• Mentor junior team members and assist with audits and special projects

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Qualifications

• Bachelor's degree in a related field, or equivalent combination of education and experience
• Claim Representative I: Minimum 1 year relevant experience or completion of a claims trainee program
• Claim Representative II: 3 years workers compensation claims experience preferred
• Claim Representative III: 5 years workers compensation claims experience preferred
• Bilingual skills are preferred across levels
• Certification or progress toward claims certification is highly preferred and encouraged

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Skills & Abilities

• Proficiency with computers and standard claims software
• Knowledge of medical and legal terminology related to workers compensation
• Understanding of workers compensation laws and jurisdictional regulations
• Strong oral and written communication skills
• Effective customer service and negotiation skills
• Ability to manage multiple priorities, meet deadlines, and exercise attention to detail
• Analytical problem solving and ability to work both independently and as part of a team
• For higher levels: independent decision making, complex problem solving, mentoring ability

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Working Conditions & Location

• Work primarily performed in an office or remote setting with minimal travel
• JobLocation: Lansing, MI (authoritative location); TELECOMMUTE status is allowed per role
• Employment subject to applicable state laws and regulations

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Compensation

• Pay range: $48,200 - $80,750 (as listed by the Confidential Client). Final pay will depend on internal equity, candidate skills and experience, geographic location, and market factors.

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Equal Opportunity & Hiring Transparency

Careertakes and our client are Equal Opportunity Employers committed to building a diverse and inclusive workforce. We prohibit discrimination or harassment of any kind. To support a fair and efficient hiring process, AI tools may be used to assist with application review or resume screening. These tools do not replace human decision-making. Final hiring decisions are made by people.

If you have questions about how your data is used, please contact us directly.